TRAVIS JON SHORT (DO) – Family Medicine Physician, NPI 1073033197

TRAVIS JON SHORT (DO) is a healthcare provider. based in Lansing, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5101023443 (MI). The NPI Number for TRAVIS JON SHORT (DO) is 1073033197

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
TRAVIS JON SHORT (DO)
NPI
1073033197
Phone
(517) 364-5252
Address
1200 E MICHIGAN AVE STE 245
Enumeration Date
20 June 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
5176699109
Graduation Year
2017 (9 years ago)
PAC ID
8820429202
Group Practice PAC ID
6709799166
Professional Enrollment ID
I20200519002704
Address ID
MI488209036DE13191RDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for TRAVIS JON SHORT (DO)

  • 245, East Michigan Avenue, Downtown, Lansing, Ingham County, Michigan, 48933, United States

    LANSING, MI 489121897

    Phone: (517) 364-5252

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Novo Nordisk Inc ($38).

Total Amount

$73

General + Research + Ownership

Payments

4

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-05-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200519002704IFamily PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes280131$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5353$0
99213Established patient office or other outpatient visit, 20-29 minutes2825$0
99496Transitional care management services for problem of high complexity1612$0
View full utilization report →

Insurance plans in this area (ZIP 48912)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709799166View full group profile
NameSpecialtyState
Nurse PractitionerMI
-MI
Family PracticeMI
-MI
P A T H O L O G YIL
Nurse PractitionerMI
Vascular Surgery, General SurgeryMI
Nurse PractitionerMI
Internal MedicineMI
Diagnostic RadiologyMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify TRAVIS JON SHORT (DO) with an NPI only?
You can start verification with NPI 1073033197 for TRAVIS JON SHORT (DO), then check state licensing separately.
Does the file indicate TRAVIS JON SHORT (DO) is practicing under active NPI?
Directory data currently reports TRAVIS JON SHORT (DO) as active.
What is TRAVIS JON SHORT (DO)'s primary classification?
Family Medicine Physician is the headline specialty for TRAVIS JON SHORT (DO) here. Clinical services aligned with this taxonomy classification.
Does TRAVIS JON SHORT (DO) list a practice location?
Patients near Lansing, Michigan may find TRAVIS JON SHORT (DO) in results; validate coverage separately.
Is the information about TRAVIS JON SHORT (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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